Evidence map›Paper›PMID 30893346›Full record

SynthesisPloS one2019

Metabolic costs of activities of daily living in persons with a lower limb amputation: A systematic review and meta-analysis.

Loeke van Schaik, Jan H B Geertzen, Pieter U Dijkstra, Rienk Dekker

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Observational
  2. Observational
  3. Optimizing below knee amputation osteotomy length: a ratio-based approach.OTA international : the open access journal of orthopaedic trauma · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Improving Amputee Endurance over Activities of Daily Living with a Robotic Knee-Ankle Prosthesis: A Case Study.Proceedings of the ... IEEE/RSJ International Conference on Intelligent Robots and Systems. IEEE/RSJ International Conference on Intelligent Robots and Systems · 2023
    Article
  13. Article
  14. Match Running Performance Profile and Heart Rate Response in Amputee Soccer Players.International journal of environmental research and public health · 2023
    Article
  15. Review
  16. Article
  17. Knee extensor power predicts six-minute walk test performance in people with transfemoral amputations.PM & R : the journal of injury, function, and rehabilitation · 2022
    Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Loeke van SchaikDepartment of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, the Netherlands.ORCID 0000-0001-5288-1143
Jan H B GeertzenDepartment of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, the Netherlands.
Pieter U DijkstraDepartment of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, the Netherlands.
Rienk DekkerDepartment of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo systematically review the literature on the metabolic costs of activities of daily living (ADL) in persons with a lower limb amputation (LLA). DATA SOURCES: A literature search was undertaken in the Pubmed, Embase, CINAHL, CENTRAL, and PsycINFO databases using keywords and synonyms for LLA, metabolic costs, and ADL. The last search was performed on November 29th, 2017. STUDY SELECTION: Studies were included if they met the following 2 criteria: participants were adults with a (unilateral or bilateral) LLA and metabolic costs were measured while participants performed a physical activity or ADL. DATA EXTRACTION AND SYNTHESIS: Data of 1,912 participants from 61 studies were included in the systematic review and meta-analysis. The studies used different terms to describe metabolic costs. Participants were recruited in different settings, relatively healthy, with few comorbidities. Limited data were available on metabolic costs of other activities than walking with a prosthesis. A linear mixed model analysis was performed based on the means reported, with study as unit of analysis and test results of different groups and measurement conditions as repeated measures within the unit of analysis. Predictors entered in the analysis were e.g. level and reason of amputation, age, weight, and height. During walking, oxygen consumption (ml O2/kg/min) and heart rate (beats/min) increased with a higher walking speed and a more proximal amputation. Additionally, oxygen consumption was determined by the interaction terms walking speed x amputation level and walking speed squared. Heart rate was determined by the interaction term walking speed squared.

conclusionDuring walking, oxygen consumption (ml O2/kg/min) and heart rate (beats/min) increased with a higher walking speed and a more proximal amputation. Data on metabolic costs of other activities were limited. The poor quality of the studies and the relatively healthy participants limited generalizability of the results of the meta-analysis.

Indexed as

Activities of Daily LivingAmputeesArtificial LimbsDatabases, FactualEnergy MetabolismHeart RateHumansOxygen ConsumptionWalking

Identifiers

PMID30893346
PMCPMC6426184

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.